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EVOLVE ELSEVIER HESI MED SURG ACTUAL EXAM
WITH 450 test bank EXAM verified QUESTIONS
AND CORRECT ANSWERS WITH WELL-
ELABORATED RATIONALES/ EVOLVE HESI
MEDICAL SURGICAL LATEST EXAM 2024-2025
(latest) ACE YOUR TEST GRADED A+ -PDF
A client who has chronic constipation often strains to pass constipated stool which increases
intestinal pressure that weakens the intestinal walls and causes out-pouching sacs, called diverticula
which commonly occur in the sigmoid.
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menopausalh7femaleh7client?
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examinationsh7areh7noth7neededh7ifh7annualh7mammogramsh7areh7obtained.h7Radiationh7e
xposureh7ish7minimizedh7byh7shieldingh7theh7abdomenh7withh7ah7lead-
linedh7apron.h7Yearlyh7mammogramsh7shouldh7beh7doneh7regardlessh7ofh7previoush7norm
alh7x-rays.
Womenh7ath7highh7riskh7shouldh7haveh7annualh7routineh7andh7ultrasoundh7mammograms.h7-
h7ANSh7:Yearlyh7mammogramsh7shouldh7beh7doneh7regardlessh7ofh7previoush7normalh7x-rays.
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There are different recommendations from different agnecies. For a client with no risk factors,
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theh7earliesth7breasth7screeningh7recommendationh7ish7ah7yearlyh7mammogramh7ath7theh7ageh740h7andh7tillh7
h7
theh7ageh7of
54.h7Afterh7thath7everyh7twoh7years.
Twentyh7fourh7hoursh7afterh7ah7clienth7returnsh7fromh7surgicalh7gastrich7bypass,h7theh7registeredh7nurseh7(RN
)
observesh7largeh7amountsh7ofh7bloodh7inh7theh7nasogastrich7tubeh7(NGT)h7cannister.h7Whichh7assessmenth7fi
ndingh7shouldh7theh7RNh7reporth7ash7earlyh7signsh7ofh7hypovolemich7shock?
Fainth7pedalh7pulses.
Decreaseh7inh7bloodh7pressure.h7Le
thargy.h7Correct
Slowh7breathing.h7-h7ANSh7:Decreaseh7inh7bloodh7pressure.
Oneh7ofh7theh7earlyh7signsh7ofh7hypovolemich7shockh7ish7changesh7inh7theh7client'sh7levelh7ofh7consciousne
ssh7dueh7toh7theh7decreaseh7perfusionh7toh7theh7brainh7whichh7canh7manifestsh7ash7lethargyh7orh7confusi
on.
Theh7nurseh7ish7caringh7forh7ah7clienth7withh7ah7continuoush7feedingh7throughh7ah7percutaneoush7endoscopich7
gastrostomyh7(PEG)h7tube.h7Whichh7interventionh7shouldh7theh7nurseh7includeh7inh7theh7planh7ofh7care?
Flushh7theh7tubeh7withh750h7mlh7ofh7waterh7qh78h7hours.
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ours.h7Obtainh7ah7dailyh7x-
h7 rayh7toh7verifyh7tubeh7placement.
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h7ANSh7:Checkh7forh7tubeh7placementh7andh7residualh7volumeh7q4h7hours.
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checkedh7everyh7fourh7hoursh7forh7clientsh7onh7continuoush7feeding.h7Ifh7theh7gastrich7residualh7ish7mo
reh7thanh7200mLh7forh7anh7adulth7client;h7stoph7theh7feedingh7andh7re-
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check the gastric residual one hour later. If the residual still remains more than 200mL;
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7continueh7toh7keeph7theh7feedingh7onh7holdh7andh7contacth7the
client'sh7healthh7careh7provider.
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A 57-year-old male client is scheduled to have a stress-
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7becauseh7heh7cannoth7eath7andh7ish7demandingh7food.h7Whichh7responseh7ish7besth7forh7theh7nurseh7to
h7provideh7toh7thish7client?
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tonight."h7"Ih7willh7leth7youh7haveh7oneh7cracker,h7buth7thath7ish7allh7youh7canh7haveh7forh7t
heh7resth7ofh7tonight."h7"Whath7didh7theh7healthcareh7providerh7tellh7youh7abouth7theh7testh
7youh7areh7havingh7tomorrow?"h7"Theh7testh7youh7areh7havingh7tomorrowh7requiresh7thath7
youh7haveh7nothingh7byh7mouthh7tonight."
-h7ANSh7:"Theh7testh7youh7areh7havingh7tomorrowh7requiresh7thath7youh7haveh7nothingh7byh7mouthh7tonight."
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mosth7therapeutich7statementh7becauseh7theh7nurseh7ish7respondingh7toh7theh7client'sh7questionh7andh7pr
ovidingh7himh7theh7reasonh7why.
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hh7responseh7ish7besth7forh7theh7nurseh7toh7provide?
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